A 2-year-old male is brought to the pediatrician by his parents, who are concerned because they have noticed that one of his testicles seems to be missing from the scrotum.
Upon examination, the doctor confirms that the right testicle is not palpable in the scrotal sac.
The left testicle is present and normal.
The parents are informed about the risk factors associated with this condition.
What condition is most likely being described?
Cryptorchidism.
Inguinal hernia.
Hydrocele.
Testicular torsion.
The Correct Answer is A
Choice A rationale
Cryptorchidism is the medical term for the failure of one or both testicles to descend into the scrotum. The scenario describes a 2-year-old male with one non-palpable testicle, which is the hallmark of cryptorchidism. Risk factors include prematurity and low birth weight.
Choice B rationale
An inguinal hernia is a protrusion of abdominal contents through the inguinal canal. While it can present as a swelling in the groin area, it is distinct from a missing testicle in the scrotum. Examination would typically reveal a palpable mass that may reduce with gentle pressure.
Choice C rationale
A hydrocele is a collection of fluid within the tunica vaginalis, the sac surrounding the testicle. It typically presents as a painless swelling of the scrotum. The testicle is usually palpable within the fluid-filled sac.
Choice D rationale
Testicular torsion is a medical emergency involving the twisting of the spermatic cord, which cuts off blood supply to the testicle. It presents with sudden, severe scrotal pain, swelling, and often nausea and vomiting. The examination would reveal a tender, firm, and retracted testicle. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The industry vs inferiority stage, according to Erik Erikson's stages of psychosocial development, occurs during middle childhood (approximately 6 to 12 years). Children in this stage focus on mastering new skills and knowledge, developing a sense of competence and industry through activities like building models and participating in team sports. Success in these endeavors leads to a feeling of accomplishment, while failure can result in feelings of inferiority.
Choice B rationale
The initiative vs guilt stage occurs during the preschool years (approximately 3 to 5 years). Children in this stage are eager to take on new tasks and activities, developing a sense of initiative. However, if their efforts are met with criticism or failure, they may develop feelings of guilt.
Choice C rationale
The autonomy vs shame and doubt stage occurs during early childhood (approximately 18 months to 3 years). Children in this stage are focused on developing independence and self-control. Success in achieving autonomy leads to feelings of confidence, while failure can result in shame and doubt about their abilities.
Choice D rationale
The identity vs role confusion stage occurs during adolescence (approximately 12 to 18 years). During this stage, individuals are exploring their sense of self and trying to establish their identity in various aspects of life. Failure to establish a clear sense of identity can lead to role confusion.
Correct Answer is B
Explanation
Choice A rationale
Pain is a common symptom in superficial and partial-thickness burns where nerve endings are still intact. While pain indicates tissue damage, the absence of pain in a burn area can signify deeper and more severe injury where nerve endings have been destroyed.
Choice B rationale
No pain with pale, leathery skin is a characteristic finding of a full-thickness (third-degree) burn. The destruction of nerve endings eliminates pain sensation, and the skin appears dry, leathery, and may be white, charred, or translucent due to damage to all skin layers and underlying tissue.
Choice C rationale
Mild erythema, or redness of the skin, is characteristic of a superficial (first-degree) burn, such as a sunburn. These burns involve only the epidermis and are typically painful and without blisters.
Choice D rationale
Blister formation is a hallmark of partial-thickness (second-degree) burns, which involve the epidermis and part of the dermis. These burns are typically painful and moist.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
